Contact form hyperthyroidism in cats

Dear customers,

We are again performing radio-iodine treatments for hyperthyroid cats.
Please fill in the form on our website, if you wish to be put on the waiting list.

Your emails will be read and we try our best to answer you in a week's time.

Thank you for your understanding.

Team Katomic

Please fill out this questionnaire

Read our brochure first. It contains all information about the radioactive iodine therapy in hyperthyroid cats
Ask your vet for the patient card and blood exams of your cat.
Please send us all information by e-mail: katomic@ugent.be
As soon as we have received all information about your cat, we will contact you within 3 working days.

PLEASE NOTE: without a patient's file we cannot help you easily or adequately. Please make sure you have your cat's file ready and sent, we will then contact you directly to make an appointment.

Name owner *

Address owner (street) *

Address owner (house number) *

Address owner (postal code) *

Address owner (city) *

Telephone number *

E-mail address *

Name cat *

Breed of the cat

Age of the cat (in years) *

Sex of the cat *

Weight of the cat (in kg)

Name of the referring veterinarian *

Address of the referring veterinarian

Telephone number referring veterinarian *

E-mail address of the referring veterinarian *

Date of the diagnosis hyperthyroidism *

Day

Month

Year

Initial complaints or symptoms *

Has your cat already taken thyroid gland inhibitors? *

If yes, what medication does/did your cat take (name medication)?

If yes, since when is your cat taking medication?

Day

Month

Year

If yes, what dose?

Were/Are there any side effects?

Does your cat get Hill's Prescription Y/D (iodine free diet)? *

At this moment, is the cat being treated for other disorders or is your cat taking any medication for other disorders? *

If yes, what is the name of the medication?

If yes, since when is your cat taking this medication?

If yes, which dose is the cat taking?

Please upload the report of your veterinarian here (pdf or Word file)

Please upload the blood examinations here

Please upload any other document that could be useful

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Th:	8 - 12h	12 - 16h
Fr:	8 - 12h	12 - 16h
Sa:	Closed	Closed
Su:	Closed	Closed

Contact form hyperthyroidism in cats

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